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THE EFFECT OF COFFEE FRUIT SKIN EXTRACT ON SPERM CHARACTERISTICS AND TESTICULAR OF MICE

WITH ETHANOL-INDUCED

Haris Setiawan1*, Rita Maliza2, Syaiful Adam Maulana3, Muhammad Ilham Hisbullah4

INTRODUCTION

Infertility, a condition where the re- productive system fails to achieve a clinical pregnancy, is a serious problem that many

men worldwide have to face (Parhizkar et al., 2013). Various types of toxic compounds that harm fertility are consumed by the public, including beverages that contain ethanol (al- cohol). Pre-clinical and clinical studies have Citation

Setiawan, H., Maliza, R., Maulana, S. A. & Hisbullah, M. I. (2020). The Effect of Coffee Fruit Skin Extract on Sperm Characteristics and Testicular of Mice with Ethanol-Induced. Jurnal Bio- djati, 5(2), 259-270.

Received : August 11, 2020

Accepted : October 25, 2020 Abstract. Coffee fruit skin contains antioxidant compounds that can repair damaged tissues, especially those of reproductive or- gans. This study was designed to assess to what extent the metha- nolic extract of coffee fruit skin affected sperm characteristics and testicular histology in mice receiving 15% ethanol for 15 days. It used 25 male mice aged four months and employed a completely randomized design with two controls (K) and three treatments (P), namely K1 (without ethanol), K2 (15% ethanol), P1 (15% ethanol and the methanolic extract of coffee fruit skin, or MECS, at 125 mg/

kg BW), P2 (15% ethanol and MECS 250 mg/kg BW), and P3 (15%

ethanol and MECS 500 mg/kg BW). These treatments were adminis- tered orally with a 1 mL disposable syringe for 15 days. The para- meters observed were sperm characteristics (viability, morphology, and sperm count) and the microscopic structure of the testicles (lu- men area, diameter, and area of seminiferous tubules). These data were then analyzed using the one-way ANOVA, continued with the LSD and Duncan’s tests (P <0.05). The results showed that P2 (250 mg/kg BW) substantially improved sperm count (86.5x105±1.73 cells/

mL), sperm viability (87.26±0.05%), and the proportion of normal sperm morphology (93.33±0.004%) of mice with 15% ethanol-in- duced sperm damages. Testicular histology also confirmed improve- ments in spermatogenic cells, as evident from the lumen, diameter, and area seminiferous tubules after receiving P1 and P2. In conclu- sion, the optimum dose of the coffee skin extract for improving sperm quality and microscopic structures of mice testicles is 250 mg/kg BW.

Keywords: coffee skin extract, ethanol, reproductive system, sperm characteristics, testicular histology

DOI: 10.15575/biodjati.v5i2.9280

1,2,3,4Laboratory of Animal Structure

and Physiology, Program Study of Biology, Faculty of Applied Science and Technology, Universitas Ahmad Dahlan, Jl. Ringroad Selatan, Tama- nan, Kec. Banguntapan, Bantul, DIY Yogyakarta, (0274) 511830

e-mail:

*1[email protected]

2[email protected]

3[email protected]

4[email protected]

*Corresponding author

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proven that ethanol can reduce fertility in men and women (Condorelli et al., 2015). Research showed that ethanol consumption impacts sperm function that related to sex hormone levels and the tubular function of the testis (Condorelli et al., 2015). Moreover, etha- nol induces abortion, hinders the process of pregnancy, and triggers congenital anomalies in the fetus (Cohen et al, 2003). In male repro- ductive organs, this compound can lower the concentration of steroid hormones, interfering with the process of spermatogenesis and cau- sing tissue damage in testicles and epididymis (De Souza et al., 2017).

Ethanol may significantly be contribu- ting factors to male infertility which is caused by decreased reproductive hormone and se- men parameters (Mathur et al., 2019). Wael &

Mahulette (2013) explained that once alcohol (ethanols) enters the body, it is metabolized into acetic acid with the help of an enzyme called alcohol dehydrogenase (ADH) and in- duces an oxidation process. Then, ethanol-de- rived acetaldehyde will activate cytochrome P450s enzymes, which play a role in the for- mation of Reactive Oxygen Species (ROS).

Elevated levels of ROS potentially alter the integrity of sperm membranes and induce de- leterious effects on sperm quality and func- tion. Human bodies can inhibit ROS activities by consuming food or supplements that con- tain antioxidants.

Antioxidants are compounds functio- ning to prevent structural damages of a cell due to oxidation (Dungira et al., 2012). Apart from improving sperm quality, they also pro- tect sperm quality from toxic compounds (spermatoprotective properties). One of the safest sources of consumable antioxidants is herbal ingredients. Lycopene is an example of antioxidants found in herbal plants and has been reported to protect sperm morpho- logy from oxidative stress and prevent histo-

pathological damage of testicles (Çeribaşi et al., 2010). Antioxidants in the form of vita- min E can alleviate cytotoxicity in cells and, therefore, improve sperm quality (Meriani, 2017). In the tropics, there are various types of herbal plants known for their antioxidant constituents, among which are the abundant yet untapped skin of coffee fruit.

Coffee fruit is a commodity plant cul- tivated in tropical countries, such as Robusta dan Arabica. Coffee production is currently not complemented with broad utilization of the waste produced, coffee fruit skin. Coffee fruit skin (mesocarp) has high antioxidant compounds. It contains secondary metabo- lites of polyphenols, such as tannins, flavo- noids, hydroxycinnamic acids, and caffeine (Esquivel & Jiminez, 2012). These natural antioxidants are expected to repair cell da- mage due to elevated concentrations of ROS induced by toxic compounds. Such an effect is also expected to occur in damaged reproduc- tive organs that determine sperm quality. Ac- cordingly, research focusing on the benefits of coffee fruit skin extract and its contents as natural antioxidant agents becomes necessary.

This study was designed to observe the effects of feeding Arabica Coffee fruit skin extract to mice with ethanol-induced poor sperm quality and histopathological damage of testicles for 15 days.

MATERIALS AND METHODS Methanolic Extracts of Coffee Fruit Skin

This research was conducted at the Labo- ratory of Animal Structure and Physiology Universitas Ahmad Dahlan in October 2019 - July 2020. Arabica coffee fruit skin (exo- carp and mesocarp) was placed under direct sunlight to produce dried medicinal ingre- dients. Afterward, the dried skin was ground into powder, weighed using analytical scales

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(2 kg), and extracted with 96% methanol at 55-60°C for 36 hours in a Soxhlet extractor to create a liquid extract. The liquid extract was evaporated to remove the methanol solvents in a rotary evaporator at a temperature of 60°C for 3 hours until a thick extract weight- ing 107.273 g was formed. A phytochemical screening, including saponins, tannins, alka- loids, and phenolics detection tests, was car- ried out to determine the antioxidant content of the extract.

Acclimatization of Test Animals

Twenty-five Male Balb/C mice (34-38 gr in weight, 4 month old) were placed in a cage set at a temperature of 22±3°C, a relative humidity of 30-37 RH, and a 12-hour light/12- hour dark cycle and allowed access to food and drinking water according to standards (ad-libitum). The cage was made of water-re- sistant material with the following dimension:

77.4 cm2 in area and 12.7 cm in height. Mice were acclimatized for six days, and the ones that met the criteria were clustered randomly into five groups.

Rearing and Treatment of Test Animals This study used five different treatments with 5 replication in each: K1 (without 15%

ethanol), K2 (0.5 ml of 15% ethanol per day), P1 (15% ethanol and the methanolic extract of coffee skin, or MECS, at the dose of 125 mg/

kg BW), P2 (15% ethanol and MECS 250 mg/

kg BW) and P3 (15% ethanol and MECS 500 mg/kg BW). Ethanol was administered orally using a 1 ml disposable syringe, then MECS (1 ml) was given in two hours. These treat- ments were carried out for 15 days (Noradina et al., 2017).

Preparation of Sperm Suspension

Mice were sacrificed on Day 15 by cervical dislocation and dissected to remove

the testicles. Afterward, the cauda epididy- mis was separated from the testicles, placed on a small petri dish, and cut repeatedly using surgical scissors. The isolated cauda ep- ididymis was then mixed with 1 ml of PBS solution in a petri dish at 37°C. This sus- pension was used to observe sperm charac- teristics, namely sperm count, viability, and morphology (Parhizkar et al., 2013). After the removal of the cauda epididymis, the testicles were washed with 0.9% NaCl and fixed using a neutral buffered formalin (BNF 10%) for histopathological specimens.

Measurement of Sperm Count

Ten µL of the sperm suspension in 1 mL of PBS was collected using a micropipette.

Drops of samples were dripped on a hemo- cytometer and observed under a microscope at 400x magnification (Parhizkar et al., 2013).

The number of sperm cells was enumerated in five small squares sized 0.04 mm2 within a counting chamber (Setiawan & Yunianto, 2015). Then, the average number was cal- culated and inputted to the formula below:

Sperm count = Number of cells/box x 25 x 105 (cells/mL of diluted samples)

Sperm Viability and Morphology Tests Sperm viability and morphology were examined using the smear method. Drops of sperm suspension were dripped on a glass slide, allowed to dry with methanol as a fixa- tive solution, washed, and added with three drops of eosin dye for 30 seconds. After the smears were wind-dried, the object glass slide was observed under a light micro- scope (400x magnification). The % viability was analyzed by comparing the living and dead sperms, while the morphology exami- nation drew on the category of shape by (Wy- robek et al., 1975), which distinguishes be-

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tween normal and abnormal sperm shapes.

Preparation of Seminiferous Tubules Speci- mensFor histopathology, seminiferous tubu- les specimens were prepared using the para- ffin technique (Suvarna et al., 2012). This examination employed Hematoxylin-Eosin (HE) staining and microscopic observation at 100x and 400x magnification. The pictures of the specimens were then taken using an Opti- Lab microscope camera. Parameters observed during the histopathology included spermato- genic cells, lumen area, and the diameter and area of seminiferous tubules (Setiawan &

Yunianto, 2016).

Statistical Analyses

The laboratory results were statistical- ly processed using the one-way analysis of variance (ANOVA) to determine whether or not and to what extent the methanolic extract of coffee fruit skin affected sperm count, vi- ability, and morphology, lumen area, and the

diameter and area of seminiferous tubules in mice fed with ethanol. Afterward, the Least Significant Difference (LSD) and Duncan’s tests were performed to identify the degree to which the treatment groups differed signifi- cantly from the control ones.

RESULTS AND DISCUSSION Phytochemical Properties of the Coffee Fruit Skin Methanolic Extract

The methanolic extract of coffee fruit skin produced weighed 107.273 grams. Its phytochemical screening included tannins, saponins, alkaloids, and polyphenols detec- tion tests (Table 1). Based on the phytochemi- cal test results (Table 1), it was found that the methanolic extract of coffee fruit skin was positive for phytochemicals acting as antioxi- dants, namely saponins, tannins, alkaloids, and polyphenols. These compounds can func- tion as a source of antioxidants that can inhibit the oxidative stress caused by ethanol.

Tests Descriptions

Saponins +

Tannins +

Alkaloids +

Phenolics +

Table 1. The phytochemical screening results of the Arabica coffee skin methanolic extract

Body Weight of the Mice

Body weight is one of the anthropo- metric examinations used in determining the basis for calculating drugs and food. In ad- dition, body weight can be used as a para- meter that describes body mass. When body weight is under normal conditions, such as good health and a balance between nutrition- al needs and guaranteed consumption, body

weight will develop based on age. But when the condition is abnormal/sick, it allows the development of body weight to be accelerated or slowed down (Utami, 2016). Body weight data in this study (Table 2) showed that there were no significant differences (P> 0.05) be- tween groups. This data shows that there is no toxic effect of coffee fruit skin extract on the growth of mice.

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Sperm Count on Mice

Sperm count is a measure that deter- mines the characteristics of sperm based on the number of sperm cells produced in semini- ferous tubules. The ANOVA revealed that the methanolic extract of Arabica coffee skin sig- nificantly improved sperm count in mice with 15% ethanol-induced sperm damage (P<0.05) (Table 3). Similarly, Duncan's test results con- firmed that treatment P2 (MECS 250 mg/kg BW) produced a significant improvement in the number of good-quality sperms compared with K2 (15% ethanol) (P<0.05). Exposure

to acetaldehyde produced from alcohol meta- bolism in mice interferes with the whole pro- cess of sperm formation in the seminiferous tubules, reducing sperm quality (Akang et al., 2011), and decreases the amount of testoster- one secreted, leading to failure in the forma- tion and release of spermatids from Sertoli cells. As a result, the concentration of sperm cells in the Sertoli cells increases, stimula- ting an autoimmune process and phagocyto- sis of sperm cells that eventually lower the number of mature sperm cells (Malini, 2013).

Variables Treatments

Day K1 K2 P1 P2 P3

Body Weights

(in g)

0 34 ± 2.65ns 35 ± 2.00ns 34.3 ± 3.79ns 36.3 ± 2.89ns 38.3 ± 4.04ns 6 37.7 ± 3.06ns 37.7 ± 2.08ns 39.7 ± 5.69ns 39.3 ± 4.04ns 40.7 ± 2.52ns 11 41.7 ± 3.79ns 39.7 ± 2.08ns 42.3 ± 4.51ns 43.3 ± 0.58ns 39.7 ± 0.58ns 15 46 ± 8.66ns 38 ± 2.65ns 37 ± 4.36ns 45 ± 3.21ns 36.3 ± 1.53ns Table 2. The body weights of the test house mice given 15% ethanol and the methanolic extract of Arabica coffee

fruit skin

Variable

groups Sperm count

(x105 cells/ml) Sperm viability Sperm morphology

Viable (%) Non-viable (%) Normal (%) Abnormal (%) K1 102±15.67b 87.88±0.008c 12.11±0.008a 92.74±0.05c 7.26±0.006a K2 62.5±22.6a 68.09±0.40a 31.9±0.04c 88.14±0.23a 11.85±0.24b P1 74.7±3.8a 73.56±0.06b 26.43±0.005b 89.64±0.05a 10.35±0.005b P2 86.5±1.73ab 87.26±0.05c 12.73±0.005a 93.33±0.004c 6.66±0.000a P3 70.9±3.53a 76.89±0.400b 23.1±0.04b 90.90±0.2c 9.09±0.2a Table 3. The sperm characteristics of the test house mice given 15% ethanol and the methanolic extract of Arabica

coffee fruit skin

It is known that flavonoids can increase sperm count by repairing the sperm plasma membrane (Jamalan et al., 2015) and activa- tion of the enzymes catalase and superoxidase dismutase (SOD) (Lara, 2008). Catalase and SOD are types of enzymatic antioxidants that function to protect cell membranes against free radicals. Besides that, alkaloid compounds and saponins are thought to be able to increase

leydig cells in the testicular tissue (Siburian, 2009; Hayati, 2010). Leydig cells are known to play a role in producing the hormone tes- tosterone, where testosterone functions in the spermatogenesis process which is very im- portant in determining sperm count (Campbell

& Reece, 2010). It is suspected that the flavo- noid in coffee fruit skin can increase the sperm count of mice after being induced by ethanol.

Notes: Numbers are presented in Mean ± SD. K1: aquadest, no 15% ethanol, K2: 15% ethanol, P1: 15% ethanol and the methanolic extract of coffee skin (MECS) at the dose of 125 mg/kg BW, P2: 15% ethanol and MECS at 250 mg/

kg BW, P3: 15% ethanol and MECS at 500 mg/kg BW. ns not significant at P>0.05

Notes: Numbers are presented in Mean ± SD. K1: aquadest, no 15% ethanol, K2: 15% ethanol, P1: 15% ethanol and the methanolic extract of coffee skin (MECS) at the dose of 125 mg/kg BW, P2: 15% ethanol and MECS at 250 mg/

kg BW, P3: 15% ethanol and MECS at 500 mg/kg BW. a-c significant at P<0.05

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Treatment P3 (MECS 500 mg/kg BW) showed a significant decrease in sperm count compared with K1 and K2 (P <0.05) (Table 3). This reduction is believed to be a product of oxidative stress arising from the adminis- tration of 15% ethanol and the accumula- tion of high tannin and saponin levels in the methanolic extract of coffee fruit skin, both of which triggered necrosis and damage to plasma membranes in the sperm cells of the test mice. Udoha et al. (2019) research showed that secondary metabolites in Ocimum gratissium leaf extract such as sapo- nins and flavonoids in high doses can trigger the necrosis mechanism in cells.

Sperm Viability on Mice

Viability is the ability of sperm to sur- vive after released from the male reproductive organs. Based on the ANOVA results, there was a significant difference (P <0.05) in the sperm viability of mice with ethanol-induced sperm damage before and after the adminis- tration of the extract. Duncan’s test confirmed that treatment P2 (MECS 250 mg/kg BW) produced viable sperms that were significant- ly different from K2 (15% ethanol) (Table 3).

Such a difference represents an increase in vi- able sperm count in the K2 group. The most significant increase was shown by treatment P1 (MECS 25 mg/kg BW), followed by P2 (MECS 250 mg/kg BW).

Oxidative stress can cause damage to the fluidity of the sperm cell membrane, dis- rupting the fertilization with the ovum (Ada- ramoye & Akanni, 2015). Such damage is inclined to reduce sperm survival (sperm vi- ability). Phenolic is known to be contained in the skin of the coffee fruit (Table 1). Phenolic compounds are known to be able to inhibit and reduce the oxidation process by free radi- cals so that the leydig cells are not disturbed.

This results in the secretion of the hormone

testosterone by leydig cells to run normally (Ayucitra et al., 2011). As is known testos- terone has a function in providing nutrients to sperm during the maturation process which determines the number of sperm that can live (Malini, 2013).

Sperm Morphology on Mice

Sperm morphology tests observe the characteristics of sperm based on the structure of sperm cells. Morphologically, a normal mouse sperm has an elongated head, sharp/

tapered tail that is bent sideways—creating a hook-like shape, and thick/large and quite long neck (Tablado et al., 1998; La Maestra et al., 2015). The ANOVA results showed that various doses of coffee skin extract sig- nificantly affected the sperm morphology of mice with ethanol-induced sperm damage (P<0.05). Similarly, Duncan's test revealed that treatment P2 (MECS 250 mg/kg BW) produced a significant improvement in sperm morphology compared with K2 (15% etha- nol) (P<0.05). This statistical analysis con- firmed that P2 gave the most favorable results in improving the sperm morphology of the test mice.

Saponins, tannins, phenolics, and alka- loids contained in the skin of the Arabica coffee fruit are known to help reduce the ef- fectiveness of free radicals (Muzdalifa &

Jamal, 2019). This results in the release of follicle-stimulating hormone (FSH) by the an- terior pituitary to run normally. Normal FSH release is thought to be able to determine nor- mal sperm morphology. As we know the func- tion of FSH is to stimulate the Sertoli cells in which without this stimulation, the conver- sion of the spermatids to sperm (the process of spermiogenesis) will not occur. Besides, sertoli cells will secrete a special nutrient fluid that is ejaculated along with the sperm. This fluid contains hormones (testosterone and

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estrogens), enzyme, and special nutrients that are essential for sperm maturation (Guyton &

Hall, 2016).

Histopathology of Testicular on Mice (Seminiferous Tubules)

Histopathology of seminiferous tubules aimed to determine the extent of damage to spermatogenic cells during spermatogenesis in seminiferous tubules. In this case, the mi- croscopic examination of the testicles proved

that in K1 (Figure 1), the seminiferous tubules were still covered with regularly arranged germinal epithelium and surrounded by thin connective tissue (fibrinogen). Also, the lu- mens—i.e., cavities or hollow structures in seminiferous tubules were densely packed with spermatogenic cells (Figure 1). Mean- while, treatment K2 induced the degeneration of spermatogenic cells in seminiferous tubules so that wide lumens and increasingly smaller seminiferous tubules were apparent.

Figure 1. Histopathology of mice testicles in the control groups: K1 (no 15%

ethanol) and K2 (15% ethanol) at 100x (left) and 400x magnifi- cation (right). In K1, seminiferous tubules (arrows) were densely filled with spermatogenic cells (SS), while in K2, dilatation (DLT) in the interstitial tissue and lumen (L) was visible.

Compared to K1, the microscopic struc- ture of the tissue of seminiferous tubules in K2 showed dilated (DLT) or broadened lu- men. In the treatment groups, P1 (125 mg/kg BW) and P2 (250 mg/kg BW), the methanolic extract of coffee fruit skin yielded improve- ments in the structure of the tissue (Figure 2).

In P2, tissue repairs were visible, as evident from lumens that were densely packed with spermatogenic cells, increased size of semi- niferous tubules, and improved epithelial and connective tissues that were nearly similar to the microscopic pictures of tubules in K1 (Figure 1).

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In P3 (500 mg/kg BW), many dege- nerations of spermatogenic cells in the semi- niferous tubules and lumen dilatation were still seen. At this dose, the methanolic ex- tract of Arabica coffee fruit skin contains too high concentrations of secondary me- tabolites that cause toxicity and cell damage instead. Data on seminiferous tubules were

tested using ANOVA, and the results (Table 4) showed that after the sperm damage in- duction, this extract could significantly af- fect the area and diameter of seminiferous tubules in mice (P<0.05). Duncan's test con- firmed that compared with K2, treatment P2 (250 mg/kg BW) successfully improved the diameter and area of seminiferous tubules.

Figure 2. Histopathology of the testicles of mice given 15% ethanol and the metha- nolic extract of coffee skin (MECS) at the doses of 125 mg/kg BW (P1), 250 mg/kg BW (P2), and 500 mg/kg BW (P3) at 100x (left) and 400x magnification (right). In P1, the lumen was dilated (DT) but not dense- ly packed with spermatogenic cells. In P2, spermatogenic cells (arrow) started to pack the seminiferous tubules densely and the lumen was filled with spermatozoa (L). In P3, the lumen was not densely packed with spermatogenic cells.

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Based on the ANOVA results (Table 4), the extract could significantly affect the lu- men area of seminiferous tubules of the test mice (P<0.05). The Duncan’s test revealed that mice receiving treatment P2 (250 mg/

kg BW) had a smaller lumen area compared to the ones receiving K2 and P1 (125 mg/kg BW) and the same area of seminiferous tu- bules as K1 (without 15% ethanol). The data also show that in varying concentrations, the extract could multiply the number of sperma- togenic cells that filled the lumen of the semi- niferous tubule gradually. The reduced num- ber of spermatogenic cells due to the adminis- tration of ethanol 15% (K1) began to pack the seminiferous tubule and increased as the ad- ministered extract concentration was elevated from P1 and P2.

Ethanols damage epithelial tissues that compose seminiferous tubules and, there- fore, dilate or broaden the lumen (Martinez et al., 2019). In the test mice, the continuous administration of 15% ethanol triggered the formation of reactive oxygen species (ROS) in spermatogenic cells. This activity increases the disruption to protein synthesis and simul- taneously inactivate the enzyme, resulting in the death of cells (apoptosis) in seminiferous tubules (Aitken et al., 2012). ROS can trig- ger apoptosis and cell necrosis and suppress spermatogenic cell proliferation; all of which bring about testicular atrophy that shrinks the

area and the diameter of seminiferous tubules worsens the degeneration of spermatogenic cells (Dosumu et al., 2014).

The increase in seminiferous tubule dia- meter is thought to be due to the presence of flavonoids in the skin coffee extract. Based on previous research, the flavonoids in Mo- ringa leaf extract have the ability as antioxi- dant agents that will protect the testicular cells in the testes from free radicals (Anzila et al., 2017). Besides, flavonoids are able to prevent the formation of ROS by preventing redox reactions that can produce new free radicals (Hardiningtyas et al., 2014). This is thought to affect the HPG axis system so that the release of LH and FSH hormones becomes normal.

LH plays a role in stimulating leydig cells to produce testosterone (Guyton, 2016) thus triggering the spermatogenesis process (Sher- wood, 2016). This normal hormonal process can lead to the formation of better spermato- genic cells so that the seminiferous tubules appear histologically denser by the spermato- genic cells. This is consistent with research on the provision of basil leaf fractions (Ocimum americanum L) containing flavonoids and ste- roids which are able to improve the diameter of seminiferous tubules (Vinnata et al., 2018).

In conclusion, the methanolic extract of cof- fee fruit skin can improve sperm characteris- tics and testicular histopathology of mice after the administration of ethanol for 15 days. The

Variable

Groups Diameters of Seminiferous

Tubules (µm) Areas of Seminiferous

Tubules (µm2) Lumen Areas of Seminiferous Tubules (µm2)

K1 19.75±0.39c 364.17±14.43c 41.48±8.40a

K2 13.90±0.46a 275.19±27.28a 80.22±5.46b

P1 16.06±0.25b 317.90±19.15b 72.42±7.82b

P2 19.83±0.90c 353.14±8.14c 39.89±5.12a

P3 16.76±0.05b 290.79±4.48a 70.09±1.26b

Table 4. The diameter, area, and lumen area of seminiferous tubules of mice given 15% ethanol and the methanolic extract of Arabica coffee fruit skin

Notes: Numbers are presented in Mean ± SD. K1: aquadest, no 15% ethanol, K2: 15% ethanol, P1: 15% ethanol and the methanolic extract of coffee skin (MECS) at the dose of 125 mg/kg BW, P2: 15% ethanol and MECS at 250 mg/

kg BW, P3: 15% ethanol and MECS at 500 mg/kg BW. a-c significant at P<0.05

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optimum dose for improving sperm character- istics and testicular tissue is 250 mg/kg BW.

ACKNOWLEDGEMENTS

This study received financial assistance form the research fund managed by the Ins- titute for Research and Community Services (LPPM) of Universitas Ahmad Dahlan. The authors declare that there is no conflict of interest with any parties involved in this re- search.

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